Individual
MR. JOHN PAUL BROTHERS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Mailing address
133 ASHLEY DR, MOUNT CARMEL, TN 37645-3692
(423) 357-3674
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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